Click the Calculate button to determine the total base volume.
Enter the amount of each additive per Bag. Please note the units of measure.
Click the Calculate button to determine the final osmolarity.
To start over again, click the Clear button.
Calcium Phosphate Solubility Curves for Travasol
Click the button below to create a calcium phosphate solubility curve, based on the values entered above, for Travasol brand amino acid.
(solubility curve will appear below)
Refer to the following example of a calcium phosphate solubility curve generated by this web site.
Solubility curves are specific for each brand of amino acid.
The three curves refer to the final concentration of amino acid tested (refer to the legend).
The red dot denotes the intersection of Calcium (mEq/L) and Phosphate (mMol/L) concentrations in the TPN solution being evaluated.
If the red dot falls to the right of the appropriate AA concentration curve, then CaPhos precipitation is likely to occur.
In the following example, one would expect CaPhos to precipitate out of solution if the final AA concentration is 2% or less.
However there are many factors other than calcium and phosphate concentrations which influence CaPhos solubility in TPN solutions:
amino acid product formulation
amino acid concentration
admixture final pH
storage temperature
mixing sequence
dextrose concentration
calcium salt form
Because multiple factors influence solubility, the use of inline filtration is required to prevent unrecognized precipitates from reaching the patient.
For TNA (3-in-1) formulations the suggested upper limits are 8.5mEq calcium and 20mMol phosphorous per liter.
For more detailed information on calcium and phosphate solubility:
Lawrence A. Trissel. (2001). Calcium and Phosphate Compatibility in Parentereal Nutrition. Houston, TX: TriPharma Communications.
(out of print).
I gave my TPN osmolarity calculator idea and code to Dave at GlobalRPh, he changed it around a bit.
If you compound your TPN base using grams, his calculator may be more useful: